Hypertension

ALGORITHMS by Vijay Bhandari (last edited 1/2010)

MAPs by David Pepper (last edit 8/2010)

• HTN - Intro - as word.doc
• HTN - Tx - as work.doc

REVIEW ARTICLE: Hypertension treatment review bhandari.doc by Vijay Bhandari (last edited 1/2010, submitted for publication)

• Figure 1. Treatment algorithm for uncomplicated HTN
• Figure 2. Treatment algorithm for patients with DM or CKD
• Figure 3. Treatment algorithm for patients with CAD, MI and or Stable Angina

Lectures/Slides

• Sexy Topics In Hypertension.ppt by Oliver Graham (posted 1/2010) Topics include: Why BP control is important, Initial workup, Secondary HTN, White Coat HTN, Tips for improving adherence, Resistant HTN and diuretics
• Hypertension, An Update - Bhandari - 2010 - 10.pdf

For a quick summary of guidelines of JNC 7, JNC 7 Reference Card.pdf

For an in-depth review of JNC 7 guidelines, JNC 7 Overview.pdf

Questions from PBL

(4/16/10)
1) What are the Common causes of HTN - primary 90+% = idiopathic and secondary (drugs, renal, aldosteronomas, pheo)
2) What is the Appropriopriate initial work up when do you do "more" work-up? (younger, resistant to Tx) and what do you base this on? (eg low K = consider hyperaldosteronism)
3) Define HTN Urgency vs Emergency and discuss, w/up (CXR, EKG, BUN/Cr, UA), treatment options and indications to admit (active end organ damage)
4) When should people be rechecked (>180/110 1-2 days, >160/100 1-2 wks, <160/100 1-2 months)
5) Are risks different for male vs females of treatment (or no treatment) - see http://hp2010.nhlbihin.net/atpiii/calculator.asp?usertype=prof for a cardiac risk calculator
6) What are the Best Treatment regiems? (low dose combo agents) and how do you choose one over another? (co-morbidities)